Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hospice Care, Community Based |
251G00000X | B4[14] | Hospice |
| NPI Number | 1386144798 |
| LBN Legal business name | EASTERSEALS-GOODWILL NORTHERN ROCKY MOUNTAIN, INC. |
| Authorized official | MARK SHERMAN - (CFO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 02/13/2018 |
| Last updated | 03/26/2019 - About 7 years ago |
| Identifiers | n/a |
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